| NPI | 1356087787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA WADE Owner/Slp 252-578-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-09-11 |